Christian Psychological Services, P.C. in Shipshewana - Clinical
Christian Psychological Services, P.C. - NPI 1205915477
Christian Psychological Services, P.C. is a Clinical in Shipshewana, Indiana. Christian Psychological Services, P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christian Psychological Services, P.C. is 1205915477. The last update date is 2009-03-16.
Christian Psychological Services, P.C.'s current location address is Po Box 414, Shipshewana, Indiana. You can contact this provider via phone number 2603363362 and fax number 2607687114. The mailing address for Christian Psychological Services, P.C. is Po Box 414, Shipshewana, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Christian Psychological Services, P.C. |
|---|---|
| Address | Po Box 414, Shipshewana, Indiana |
| Phone Number | 2603363362 |
| Fax Number | 2607687114 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ashby Warner Janelle |
| Credentials | PSY.D. |
| Telephone Number | 2603363362 |
NPI Number Detail
| NPI Number | 1205915477 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2009-03-16 |
Provider Mailing Address Detail
| Address | Po Box 414 |
|---|---|
| City | Shipshewana |
| State | Indiana (IN) |
| Post Code | 465650414 |
| Phone Number | 2603363362 |
| Fax Number | 2607687114 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041285A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 388789 | IN | ANTHEM BC/BS | |
| 200176640B | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Christian Psychological Services, P.C.?
The Christian Psychological Services, P.C. has been issued the NPI (National Provider Identifier) 1205915477 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Christian Psychological Services, P.C. is physically located?
The Christian Psychological Services, P.C. is physically situated at the following address: Po Box 414, Shipshewana, IN, 465650414.
What is Christian Psychological Services, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Christian Psychological Services, P.C. is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205915477 to Christian Psychological Services, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1205915477 to Christian Psychological Services, P.C. on 2006-11-06.
When was the information pertaining to Christian Psychological Services, P.C. most recently updated or revised?
The details related to Christian Psychological Services, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2009-03-16.
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